Diabetic retinopathy is an abnormality of the microvasculature of the retina that occurs to almost all patients with chronic diabetes mellitus.
It is one of the leading cause of blindness worldwide and principal cause of impaired vision in patients aged 25-75 years of age.
The abnormality causes microaneurysms, retinal hemorrhages, lipid exudates, macular edema & neovascular vessel growth that may lead to blindness.
Educate patients on how to recognize visual symptoms (eg vision changes, floaters, distortion, redness, pain) that could be manifestations of disease progression & consult their ophthalmologist immediately when they occur
Advise DM patients to
Have strict glycemic control as risk of developing DR at 10 yrs is higher in those w/ FBS of 10 mg/dL & HbA1c >7%
Be compliant w/ anti-hypertensive drugs to maintain blood pressure systolic BP <130 mmHg
Control serum lipid levels w/ proper diet & to prescribed antidyslipidemic medications
A novel version of the Goldmann applanation tonometer (GAT) can be used as a more accurate measurement device for myopic patients after laser assisted in situ keratomileusis (LASIK) surgery in place of the current reference tonometer, according to a new study.